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General NPI Number Information
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NPI Number | 1558170555
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Entity Type | Organization
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Legal Business Name | RED LIGHT WHOLESALE LLC
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Dates
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Enumeration Date | 01/03/2025
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Last Update Date | 04/22/2025
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Provider Practice Location Address
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Address Line | 10752 W BELL RD
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City | SUN CITY
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State | AZ
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Zip | 85351-1076
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Country | US
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Telephone | 502-300-7943
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Fax |
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Provider Business Mailing Address
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Address Line | 13123 W BERRIDGE CT
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City | LITCHFIELD PARK
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State | AZ
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Zip | 85340-7328
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Country | US
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Telephone | 602-405-5282
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MIKE VASQUEZ
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Credential |
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Telephone | 602-405-5282
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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